Individual
BITA TABASSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7815 PRESTON HWY, LOUISVILLE, KY 40219-3140
(502) 966-2020
(502) 966-2099
Mailing address
175 E HOUSTON ST, SAN ANTONIO, TX 78205-2255
(210) 524-6663
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1528DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77000586
—
KY
Enumeration date
12/26/2006
Last updated
07/10/2014
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